Countess Odelia’s Booking Form
Only complete this form after reading Countess Odelia's "In Person" website page, when you are deposit ready.
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Email *
Phone Number *
Full Legal Name *
Preferred name
Pronouns *
e.g he, she, they, etc.
Where would you like to be contacted?
Clear selection
Sub name / Scene name
Pup name, object name, sissy name, etc
What best describes your kink identity?
Clear selection
Date of birth *
You must be 18+ to enquire about a booking
MM
/
DD
/
YYYY
Are you willing to provide photo ID?
This will be kept private and confidential
Clear selection
Session Length *
Includes aftercare
Session type *
Session Location
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What are your kinks, fetishes, or acts of interest? *
The more information I have, the better I can plan our session. You do not need to be overly graphic, vulgar, or provide a script.
What are your experience levels with the play that you are requesting? 
What are your limits? *
Everyone has limits - giving none will result in this request being denied. If you don't know yet, that's okay.
Aftercare needs or desires
It's okay if you don't know. You can message me in the days following our session should you need anything. 
What dates and times work best for your session? *
Would you like any of your session documented? *
Medical conditions, allergies, concerns, or accommodations needed *
Where did you find me?
Have you read the “In Person” section on my website before completing this form?
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A copy of your responses will be emailed to the address you provided.
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